OrganizationActive
Southern California Pain and Spine, Inc.
NPI 1154608909 · Interventional Pain Medicine Physician · Palm Springs, CA
Provider details
- NPI number
- 1154608909
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Aiden Clarke, Owner(619) 564-7463
- License
- G64292 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1180 N Indian Canyon Dr
Ste W200
Palm Springs, CA 92262-4800
Phone: (408) 370-9080
Street-level locationGet directions
Mailing address
1725 W Montecito Way
San Diego, CA 92103-1227
Registry dates
- Enumerated
- 2011-11-08
- Last updated
- 2012-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.